Linda Lou Kowalczyk

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PR28955 Issued in SC

Practice address

100 Blassingame Rd
Greenville, SC 29605-3304

Phone

(864) 355-3100

NPI assigned

Mar 16, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greenville County School District

  • Local Education Agency (LEA)
  • Greenville, SC
  • NPI 1861211658
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363392000000",
    "number": "1992047930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BLASSINGAME RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296053304",
            "telephone_number": "864-355-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BLASSINGAME RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296053304",
            "telephone_number": "864-355-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALCZYK",
        "first_name": "LINDA",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-16",
        "last_updated": "2013-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "PR28955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Kothe
• Jessica D Kotik, PHD
• Spyros A Koutsioukis, DMD
• Dmitri Kovalev, M.D.
• Alexander Kovalic, MD
• Keith Frederick Kraemer, MD
• Michael Kraft
• Tyler Kraft, PHARMD
• Taylor Christine Krajewski, RN
• Stacey Hope Krall, RN

• Licensed Practical Nurse in Greenville, SC
• Providers in Greenville, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.